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ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION - CLINICAL OUTCOME AND EVALUATION

A. Shukla, J. Singh, S. Iyengar

Abstract


Introduction: The surgical techniques available for disk herniation and cervical spondylosis are discectomy with or without fusing the two adjacent intervertebral bodies, which is considered when conservative treatment fails. Although each procedure has its merits and demerits, it is still unclear if one surgical technique is superior over the other.

Material and Methods: It was a prospective study carried out in the department of Neurosurgery and Neurology, J.A. group of hospitals, Gwalior from August 2011 to 2015. Study population consists of 30 patients who had cervical disc at MRI. Patients were assessed for Nuricks grade pre-operatively, then again assessed post-operatively for any improvement in motor, Gait, Hand and sensory functions using Nuricks grade.

Results: In the present study, no. of cases in the grade 0,1,2,3,4,5 of Nurick’s were 0,2,3,4,13 and 8 respectively, which improved to 1,6,6,11,6 and 0 after one month of surgery and further improved to 20,7,2,1,0 and 0 after six months of surgery. In the present study, the most commonly performed operation was at the level of C3-4 followed by C5-6, the results of the operation at various levels were excellent and good in more than 90% of the cases.

Conclusion: Anterior cervical surgery is safe and effective treatment for herniated cervical discs. Because anterior Discectomy is technically less difficult, has less operative morbidity, and may result in a shorter hospitalization, this approach may be preferable to Discectomy and fusion.

Keywords


Anterior cervical discectomy, Cervical spondylosis, Nuricks grading, Cervical discectomy, Clinical study, Discectomy.

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References


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